HESI Fundamentals 08/26/2026
Exit Exam
HESI Fundamentals Exit Exam 2 V1, V2 & V3 RN
& PN Fundamentals Test Bank 2026/2027 |
Complete Questions & Answers with
Rationales | Verified Nursing Practice
Questions | NGN Clinical Judgment Review |
Graded A+ HESI Exit Exam Prep
While conducting an intake assessment of an adult client at a community mental health clinic, the
nurse notes that the client's affect is flat, responds to questions with short answers, and reports
problems with sleeping. At the end of the intake assessment, the client reveals the loss of a life
partner 1 month ago. What is the nurse's best action for this client?
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, HESI Fundamentals 08/26/2026
Exit Exam
A.
Encourage the client to see the clinic's grief counselor.
B.
Determine if the client has a family history of suicide attempts.
C.
Inquire about whether the life partner was suffering from AIDS.
D.
Consult with the health care provider about the client's need for antidepressant medications. –
Correct Answer :A
Rationale:
The client is exhibiting normal grieving behaviors, so referral to a grief counselor is the most important
intervention for the nurse to implement. Option B is indicated but is not a high-priority intervention.
Option C is irrelevant at this time but might be important when determining the client's risk for
contracting the illness. An antidepressant may be indicated, depending on further assessment, but
grief counseling is a better action at this time because grief is an expected reaction to the loss of a
loved one.
The nurse who is preparing to give a 14-year-old client a prescribed antipsychotic medication notes
that parental consent has not been obtained. Which action should the nurse take?
A.
Review the chart for a signed consent for hospitalization.
B.
Get the health care provider's permission to give the medication.
C.
Do not give the medication and document the reason.
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, HESI Fundamentals 08/26/2026
Exit Exam
D.
Complete an incident report and notify the parents. –
Correct Answer :C
Rationale:
The nurse should not give the medication and should document the reason because the client is a
minor and needs a guardian's permission to receive medications. Permission to give medications is not
granted by a signed hospital consent or a health care provider's permission, unless conditions are met
to justify coerced treatment. Option D is not necessary unless the medication had previously been
administered.
After the nurse tells an older client that an IV line needs to be inserted, the client becomes very
apprehensive, loudly verbalizing a dislike for all health care providers and nurses. How should the
nurse respond?
A.
Ask the client to remain quiet so the procedure can be performed safely.
B.
Concentrate on completing the insertion as efficiently as possible.
C.
Calmly reassure the client that the discomfort will be temporary.
D.
Tell the client a joke as a means of distraction from the procedure –
Correct Answer :C
Rationale:
P a g e 3 | 125
, HESI Fundamentals 08/26/2026
Exit Exam
The nurse should respond with a calm demeanor to help reduce the client's apprehension. After
responding calmly to the client's apprehension, the nurse may implement to ensure safe completion
of the procedure.
The nurse worked with a client to alleviate pain with aroma and relaxation therapy. Twenty minutes
after working with the client, the nurse returns to the room and finds the client's eyes are closed and
breathing deeply. What is the best entry for the nurse to document this finding?
A.
Client sleeping
B.
Pain medication working
C.
Eyes closed, deeply breathing
D.
Effective use of alternative therapy –
Correct Answer :C
Rationale:
The purpose of charting is to document the client's response to care. Charting must be objective. The
client could still be awake, and in a calm state. Clients can sleep through pain, especially if the client
has chronic pain. There is no mention of pain medication in the questions. Chart the client's response
to the care; while the method of achieving relaxation is important, it is not the most important.
The postoperative nurse is reviewing the use of an incentive spirometer. Which instructions will the
nurse include in the client's teaching plan? (Select all that apply.)
A.
Sit in an upright position.
B.
Cough deeply three times.
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Exit Exam
HESI Fundamentals Exit Exam 2 V1, V2 & V3 RN
& PN Fundamentals Test Bank 2026/2027 |
Complete Questions & Answers with
Rationales | Verified Nursing Practice
Questions | NGN Clinical Judgment Review |
Graded A+ HESI Exit Exam Prep
While conducting an intake assessment of an adult client at a community mental health clinic, the
nurse notes that the client's affect is flat, responds to questions with short answers, and reports
problems with sleeping. At the end of the intake assessment, the client reveals the loss of a life
partner 1 month ago. What is the nurse's best action for this client?
P a g e 1 | 125
, HESI Fundamentals 08/26/2026
Exit Exam
A.
Encourage the client to see the clinic's grief counselor.
B.
Determine if the client has a family history of suicide attempts.
C.
Inquire about whether the life partner was suffering from AIDS.
D.
Consult with the health care provider about the client's need for antidepressant medications. –
Correct Answer :A
Rationale:
The client is exhibiting normal grieving behaviors, so referral to a grief counselor is the most important
intervention for the nurse to implement. Option B is indicated but is not a high-priority intervention.
Option C is irrelevant at this time but might be important when determining the client's risk for
contracting the illness. An antidepressant may be indicated, depending on further assessment, but
grief counseling is a better action at this time because grief is an expected reaction to the loss of a
loved one.
The nurse who is preparing to give a 14-year-old client a prescribed antipsychotic medication notes
that parental consent has not been obtained. Which action should the nurse take?
A.
Review the chart for a signed consent for hospitalization.
B.
Get the health care provider's permission to give the medication.
C.
Do not give the medication and document the reason.
P a g e 2 | 125
, HESI Fundamentals 08/26/2026
Exit Exam
D.
Complete an incident report and notify the parents. –
Correct Answer :C
Rationale:
The nurse should not give the medication and should document the reason because the client is a
minor and needs a guardian's permission to receive medications. Permission to give medications is not
granted by a signed hospital consent or a health care provider's permission, unless conditions are met
to justify coerced treatment. Option D is not necessary unless the medication had previously been
administered.
After the nurse tells an older client that an IV line needs to be inserted, the client becomes very
apprehensive, loudly verbalizing a dislike for all health care providers and nurses. How should the
nurse respond?
A.
Ask the client to remain quiet so the procedure can be performed safely.
B.
Concentrate on completing the insertion as efficiently as possible.
C.
Calmly reassure the client that the discomfort will be temporary.
D.
Tell the client a joke as a means of distraction from the procedure –
Correct Answer :C
Rationale:
P a g e 3 | 125
, HESI Fundamentals 08/26/2026
Exit Exam
The nurse should respond with a calm demeanor to help reduce the client's apprehension. After
responding calmly to the client's apprehension, the nurse may implement to ensure safe completion
of the procedure.
The nurse worked with a client to alleviate pain with aroma and relaxation therapy. Twenty minutes
after working with the client, the nurse returns to the room and finds the client's eyes are closed and
breathing deeply. What is the best entry for the nurse to document this finding?
A.
Client sleeping
B.
Pain medication working
C.
Eyes closed, deeply breathing
D.
Effective use of alternative therapy –
Correct Answer :C
Rationale:
The purpose of charting is to document the client's response to care. Charting must be objective. The
client could still be awake, and in a calm state. Clients can sleep through pain, especially if the client
has chronic pain. There is no mention of pain medication in the questions. Chart the client's response
to the care; while the method of achieving relaxation is important, it is not the most important.
The postoperative nurse is reviewing the use of an incentive spirometer. Which instructions will the
nurse include in the client's teaching plan? (Select all that apply.)
A.
Sit in an upright position.
B.
Cough deeply three times.
P a g e 4 | 125
